Organization
ON-SIGHT CONTINENCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SLACK (CREDENTIALING SPECIALIST)
(252) 985-1371
Entity
Organization
Contact information
Practice address
131 N TUCKER ST, MEMPHIS, TN 38104-2636
(901) 726-5600
Mailing address
PO BOX 7756, ROCKY MOUNT, NC 27804-0756
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370186
—
TN
Enumeration date
08/24/2007
Last updated
02/27/2009
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